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Individual

DR. DONALD G BRONN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1202 WALTON BLVD, SUITE #211, ROCHESTER HILLS, MI 48307-6917
(248) 646-7100
(888) 885-8801
Mailing address
PO BOX 220, BLOOMFIELD HILLS, MI 48303-0220
(248) 646-7100
(248) 646-7183

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
050770
OH
2085R0001X
Radiation Oncology Physician
Primary
261671
NY
2085R0001X
Radiation Oncology Physician
4301049436
MI
2085R0001X
Radiation Oncology Physician
ME75084
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050770
STATE LICENSE
OH
01
261671
STATE LICENSE
NY
01
4301049436
STATE LICENSE
MI
01
ME75084
STATE LICENSE
FL
Enumeration date
05/14/2007
Last updated
12/04/2013
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